Depression during the COVID-19 pandemic amongst residents of homeless shelters in France

Scarlett, Honor; Davisse‐Paturet, Camille; Longchamps, Cécile; Aarbaoui, Tarik El; Allaire, Cécile; Colleville, Anne-Claire; Convence-Arulthas, Mary; Crouzet, Lisa; Ducarroz, Simon; Melchior, Maria

doi:10.1016/j.jadr.2021.100243

Cited by 22 publications

(28 citation statements)

References 83 publications

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“…Based on the level of depression, most Indonesians in this study (71.7%) experienced symptoms of depression during the COVID-19 outbreak, the others experienced mild depression (28.5%), moderate depression (18.4%), and severe depression (24.8%). This prevalence is higher than that in a previous study conducted by Scarlett et al (2021) in France on people living in shelters, namely, 28% had mild depression, 17% had moderate depression, 10% had moderately severe depression, and 3% had severe depression. This high rate of depression may be due to unclear information about COVID-19.…”

Section: Discussioncontrasting

confidence: 67%

Factors Influencing Depression among Indonesians during the COVID-19 Outbreak

Sarfika

Malini

Putri

et al. 2021

Nurs. Med. J. Nursing

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Background: The 2019 Coronavirus pneumonia disease (COVID-19) has gained intense attention globally, including in Indonesia. The rapid transmission and clinical effects of the virus can cause depression in Indonesian society. However, information on risk factors for depression during COVID-19 in this country is not known. Purpose: This study aimed to determine the level of depression and identify factors influencing depression in Indonesian society during the COVID-19 outbreak.Methods: An online-based cross-sectional study was conducted among Indonesian society aged ≥12 years old in April 2020. A total of 1,622 participants from 34 provinces in Indonesia were involved in this study and completed the online questionnaires on demographics, social media exposure, self-rated health, and depression levels with the WHO-Five Well-being Index (WHO-5). Ordinal logistic regression analysis was used to identify the factors associated with depression levels.Results: Of the total sample analyzed, the overall prevalence of depression levels was 28.5% mild depression, 18.4% moderate depression, and 24.8% severe depression. Social media exposure (SME), age, gender, occupation, and self-rated health (SRH) were significantly influencing depression (p<0.05). The factor that most influenced the level of depression was self-rated health (p=0.0001; OR=2.72).Conclusion: This study highlights depression in Indonesian society during the COVID-19 pandemic and provides an understanding of the effects of demographics, social media exposure, and self-rated health. The study suggests the importance of implementing a multi-disciplinary approach (e.g., a collaboration between mental health nursing and community nursing) to deal with depression.

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Section: Discussioncontrasting

confidence: 67%

Factors Influencing Depression among Indonesians during the COVID-19 Outbreak

Sarfika

Malini

Putri

et al. 2021

Nurs. Med. J. Nursing

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“…The health crisis had a significant psychological impact, aggravating emotional distress ( Yen-Hao Chu et al, 2020 ). Our study population reported unsatisfactory fulfilment of their basic needs (food, hygiene, accommodation) and high rates of mental disorders before being offered a shelter ( Vandentorren et al, 2016 , Scarlett et al, 2021 ). Similarly, the ApartTogether survey ( Spiritus-Beerden et al, 2021 ) highlighted that the mental health of refugees and migrants in Europe during the pandemic was significantly impacted, with increased levels of discrimination and daily life stressors.…”

Section: Strengths and Limits Of The Studymentioning

confidence: 84%

Impact of the COVID-19 pandemic on vulnerable groups, including homeless persons and migrants, in France: A qualitative study

Crouzet

Scarlett

Colleville

et al. 2022

Preventive Medicine Reports

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Social inequalities tended to increase in the context of the pandemic, particularly in relation to the measures taken to manage and reduce the risk of COVID-19. When lockdown measures required the general population “to stay home”, what were homeless people expected to do? The ECHO study is a cross-sectional, descriptive study with a convergent mixed-method design. Data were collected across shelters in France both during and immediately following the lockdown (April – June 2020). This article presents the study’s qualitative findings, with a focus on understanding both the experiences and perceptions among these populations of the measures taken to limit the COVID-19 infection. A total of 26 semi-directed individual interviews were conducted across seven shelters in both Lyon (42%) and Paris (58%). Data were analysed using thematic content analysis with partial blinded coding. Four key themes were identified: 1- Reactions to the introduction of lockdown: a sudden implementation reminiscent of prior violent or traumatic circumstances amongst participants, 2- Accommodation during lockdown: participants’ conflicting visions of the shelter, 3- Influence of the media and public communication: an abundant flow of information impacting participant’s wellbeing and representations on the pandemic, and 4- The individual impact of lockdown: perceived health and limitations to daily life activities. The most vulnerable populations have borne the heaviest burden during the pandemic. It is therefore crucial that we improve both the availability of information, and the health literacy of, all groups within the national population.

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“…During this period, depression was also found to be associated with increased alcohol consumption in the general population [ 4 ]. Within the ECHO study sample, both waves showed rates of depression (30–31%) higher than national averages (∼20%) [ 79 ]. Serious mental disorders are known risk factors for homelessness, propagating the associated issues with employment and access to medical care and social support [ 80 , 81 ].…”

Section: Discussionmentioning

confidence: 99%

Substance Use Among Residents of Homeless Shelters During the COVID-19 Pandemic: Findings From France

Scarlett

Melchior

Davisse‐Paturet

et al. 2022

Int J Public Health

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Objectives: To record the prevalence and risk factors of substance use amongst homeless persons during the COVID-19 pandemic.Methods: The ECHO study consisted in two independent cross-sectional waves of data collection in the regions of Paris, Lyon, and Strasbourg during the Spring of 2020 (n = 530) and 2021 (n = 319). Factors associated with substance use were explored using generalised logistic regression models.Results: The most prevalent substance used was tobacco (38%–43%), followed by alcohol (26%–34%). The use of both substances positively associated with each other, although risk factors varied depending on the substance. The only factors consistently associated with alcohol and tobacco use were being male, exposure to theft/assault and participants’ region of origin. Whilst the rate of tobacco use was relatively stable between Spring 2020 and 2021, alcohol use was more common in 2021.Conclusion: These findings highlight a high prevalence of substance use amongst homeless persons. People experiencing homelessness face specific challenges in the context of the pandemic, alongside greater vulnerability to illness and low healthcare access, therefore the need to improve prevention and support services for substance abuse within this population is vital.

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Depression during the COVID-19 pandemic amongst residents of homeless shelters in France

Cited by 22 publications

References 83 publications

Factors Influencing Depression among Indonesians during the COVID-19 Outbreak

Factors Influencing Depression among Indonesians during the COVID-19 Outbreak

Impact of the COVID-19 pandemic on vulnerable groups, including homeless persons and migrants, in France: A qualitative study

Substance Use Among Residents of Homeless Shelters During the COVID-19 Pandemic: Findings From France

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